Provider Demographics
NPI:1528375474
Name:BOND, RYAN CHARLES (DDS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:CHARLES
Last Name:BOND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4608 DOGWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2000
Mailing Address - Country:US
Mailing Address - Phone:425-258-2633
Mailing Address - Fax:
Practice Address - Street 1:4608 DOGWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2000
Practice Address - Country:US
Practice Address - Phone:252-582-6334
Practice Address - Fax:360-570-8275
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60168045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist